Giving Form
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Requesting Organization Details
Organization Legal Name *
Contact Name *
Contact Phone Number *
Organization Mailing Address *
Specifics About The Request
Activity/Project description and reason or purpose for the request *
Funding
Total Cost of Activity/Project? *
If other sources of funding are being sought or are already approved please list the other sources of funding, the amount and if they have yet to be approved.
Amount Requested from Rotary Club of Windsor, NS? *
Date Needed By? *
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DD
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Payable to Who? *
Background Information
Has this Rotary Club of Windsor contributed to this group or individual in the past? *
If yes, please provide date and amount:
Will any Rotary Club members, directors, officers or their families receive any portion of this money? *
If yes, then who?
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